Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $36.65 / $15,449.13	Facility		$34.04	$36.65	$15,449.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $42.90	Professional		$34.04	$34.04	$42.90
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.54 / $40.15 / $68.09	Facility		$38.54	$40.15	$68.09
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.94 / $34.04 / $34.04	Professional		$28.94	$34.04	$34.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $36.90 / $54.48	Facility		$34.04	$36.90	$54.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $37.46 / $52.44	Professional		$34.04	$37.46	$52.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.04 / $34.04 / $85.00	Facility		$34.04	$34.04	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $63.65 / $94.40	Professional		$34.04	$63.65	$94.40
United Facility/Professional Facility Modifier Low / Median / High Price $34.03 / $34.03 / $34.03	Facility		$34.03	$34.03	$34.03
United Facility/Professional Professional Modifier Low / Median / High Price $34.04 / $34.04 / $36.47	Professional		$34.04	$34.04	$36.47